Delivering written exposure therapy for ptsd in underserved primary care settings
Active Project Grant Awarded Last action
- Award ID
- R01MH123585
- Recipient
-
The Rand Corporation UEI YY46Q97AEZA8
- Awarding agency
-
National Institute of Mental Health
National Institutes of Health, Department of Health and Human Services
- Obligated
- $11,573,211
Award facts
- Assistance listing
- 93.242 Mental Health Research Grants
- Completion date 88% complete
- Originally
- Funding
-
- $10,538,773.00 Federal
- $1,034,438.00 Non-federal
- Place of performance
- Santa Monica, CA 90401, USA
Award details come from USAspending.gov.
Description
- Abstract
- Posttraumatic stress disorder (ptsd) results in substantial costs to society is highly prevalent among adults. Importantly, the prevalence ptsd within primary care settings is even higher than the general population as primary care is the setting to which individuals with ptsd most often present. Evidence-based psychotherapies (ebps) for ptsd are available but dissemination within real world settings is fraught with challenges because these therapies require 10-15, lengthy treatment sessions and extensive therapist training to implement, and these treatments are not feasible within primary care settings given the limited time resources. Consequently, there are multiple barriers to accessing ebps for ptsd. Efforts to integrate mental health services within primary care for ptsd though collaborative care management (cocm) interventions are rapidly expanding and have been shown to be effective in the treatment of depression and anxiety. However, the evidence for ptsd is limited due to the time intensive nature of the ptsd therapy approaches that have been examined. An efficient ptsd treatment approach is needed to address the treatment needs of individuals with ptsd presenting to primary care. Written exposure therapy (wet) is a brief EBP that provides an alternative to more intensive ebps. Recent studies of wet have yielded positive outcomes and have shown IT to be non-inferior when directly compared to more time intensive ptsd ebps, but wet has not yet been examined within the primary care environment. The primary aims of the proposed study are to evaluate the effectiveness and implementation of delivering wet into cocm to improve the management of ptsd among underserved primary care patients in federally qualified health centers (fqhcs). The pragmatic cluster- randomized study will use a hybrid effectiveness-implementation design. Twelve fqhcs will be randomized to either cocm plus wet (cocm+wet) or cocm alone and 60 patients within each fqhc will be screened for eligibility. We will use the RE-aim framework (for reach, efficacy/effectiveness, adoption, implementation, & maintenance) to evaluate the effectiveness and implementation process of the cocm+wet intervention using mixed methods. To examine effectiveness and potential mediators and moderators of the intervention, we will administer assessments at baseline, 3- and 6-month follow-up. To assess implementation, we will use clinic process data and clinic staff interviews pre- and post-intervention. This study has the potential to substantially impact practice and public health by validating the effectiveness and feasibility of delivering a brief trauma- focused EBP embedded within cocm in primary care to improve ptsd outcomes for underserved patients.
Transactions
| Action | Federal | Non-federal | Date |
|---|---|---|---|
| Amendment | $0 | $0 | |
| Amendment | $967,012 | $0 | |
| Amendment | $967,012 | $0 | |
| Amendment | $1,310,805 | $0 | |
| Amendment | $1,331,734 | $0 | |
| Amendment | $1,331,734 | $0 | |
| Amendment | $1,280,800 | $0 | |
| Amendment | $1,280,800 | $0 | |
| Amendment | $1,034,438 | $0 | |
| Original award | $1,034,438 | $1,034,438 |
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| Kaiser Foundation Hospitals | $95,137 | |
| Clinical Directors Network, Inc. | $2,439,169 | |
| Trustees Of Boston University | $620,777 |
Quick answers
Who received award R01MH123585?
R01MH123585 was awarded to The Rand Corporation by National Institute of Mental Health (National Institutes of Health) on September 13, 2021.
How much is award R01MH123585 worth?
$11,573,211 has been obligated on R01MH123585: $10,538,773 in federal funding and $1,034,438 in non-federal funding.
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